MEDICARE, MEDICAID, AND THE DELIVERY SYSTEM (CASE)

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Assignment Overview

Over the years there have been many changes to both the Medicaid and the Medicare programs. These changes are due to aspects that include transformations in the health care industry/climate and political environment. With any change, there are always supporters and opponents. As a health care administrator, it is vital that you understand significant modifications to our health care program as well as understand how potential changes will impact health care delivery.

Review the following articles that outline potential issues with the Medicare and Medicaid program:

AARP. (2017). Medicare, Medicaid and ACA. Retrieved from https://www.aarp.org/ppi/issues/medicare/

Beckers Healthcare. (2013). 18 Recent Medicare, Medicaid Issues. Retrieved from https://www.beckershospitalreview.com/finance/18-recent-medicare-medicaid-issues-feb-8-2013.html

U.S. News. (2015). 5 Challenges Facing Medicaid at 50. Retrieved from https://www.usnews.com/news/articles/2015/07/30/5-challenges-facing-medicaid-at-50

Case Assignment

Having completed the course readings, you should now have a basic understanding of the role of Medicare and Medicaid. For the Module 4 Case Assignment, conduct additional research as needed and prepare a 3- to 4-page argumentative essay that addresses the following:

  1. Describe two current issues/challenges (based on scholarly literature) with the Medicare and Medicaid program and discuss the impact on health care delivery (2 issues/challenges per program; 4 issues/challenges total).
  2. Research and discuss both sides issues/challenges.
  3. Provide your opinion/argument, from a health care administrator perspective, on the current Medicaid and Medicare program with associated recommendations.
  4. Do not write in first person.

Assignment Expectations

  1. Conduct additional research to gather sufficient information to justify/support your position and answers to the questions.
  2. Limit your response to a maximum of 4 pages.
  3. Include an introduction and conclusion in your paper.
  4. Support your case with peer-reviewed articles, using at least 3-4 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
  5. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.
  6. You may use the following source to access information on how to write an Argumentative Essay: https://s.bellevuecollege.edu/wp/sites/161/2014/09/argumentativeessay.pdf

psychology Portfolio

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Portfolio

You will create a professional planning portfolio containing five documents organized according to three purposeful sections:  1) The Core section—completed by all students. 2) either an Employment section or a Graduate School section, depending upon your post-baccalaureate plans. 3) a revised copy of your Career Review Paper, which has been corrected according to the feedback you received from your instructor.

The Core section will contain the following two documents:

Document 1: Personal Statement (15 points)

Compose a personal statement describing your immediate and long-term career and life goals, including an explanation of why these goals are appropriate and realistic in terms of your curricular, extracurricular, professional, and personal experiences. 

  • When composing this document keep it personal, framing the discussion from your perspective (I, my, me). 
  • A maximum page length for your Personal Statement is not specified as your goals and aspirations are unique to you.  Take the space you need to effectively, and succinctly, define and discuss your goals.  Historically, students have achieved this in 2-3 pages. 
  • The document should be formatted using sound APA formatting practices: 1-in. margins on every side of the page, page numbering, double-spaced, and appropriately sized sans serif or serif fonts.   

Document 2: Reflective Paper (15 points)

You will write a paper reflecting upon your educational experiences within your psychology program journey, using the Program Goals as an organizational paradigm. That means you will organize your paper using the Goals.  The body of the paper will be organized into sections corresponding to the Goals. This paper should include thoughts regarding successes and challenges, new insights, and personal transformations. This should be at a deep level rather than a surface mention. You must address each of the Program Goals which are displayed below and discuss how you have specifically met that goal, referencing courses, papers and concepts.

  • Organize the Reflective Paper by the Program Goals and use headings per the APA Manual. 
  • List the Program Goal verbatim (with proper citation) and then address each component to receive maximum points.
  • The Reflective Paper will be 6 to 10 pages, double-spaced, not including the expected title and reference pages. APA Style is expected and you must reference yourself when quoting from past papers. 
  • Only academic/scholarly sources should be used.  Avoid common, general reference websites like Wikipedia, Psychology Today, or Verywell Minded. 

UMGC Psychology Program Goals 1

Apply major concepts, theoretical perspectives, empirical findings, and historical trends in psychology to prepare for graduate studies or careers in which psychological training is relevant.

2

Apply basic knowledge of research methodology, statistics, measurement, guidelines, ethical standards, laws, and regulations in order to design, participate in and to evaluate research in a variety of contexts.

3

Apply knowledge of human behavior to inform personal growth, communicate effectively, solve problems, make decisions and interact with individuals, communities, and organizations.

4

Use critical and creative thinking, skeptical inquiry, and where possible appropriate technology and the scientific approach to solve problems related to current and emergent trends within the domains of psychology.

5

Value diversity and different perspectives, tolerate ambiguity, and act ethically to communicate appropriately with various sociocultural and international populations.

The Employment / Advanced Studies section will include the following two documents:

Document 3: Resume/Curriculum Vitae (8 points) 

Craft a current, accurate, and professional-appearing resume or curriculum vitae.  Which you choose to present depends on your aspirations.  Resumes tend to be competency-based, designed to be a marketing document that showcases your skills, achievements, and work experiences [1].  They tend to run 1-2 pages in length.  A curriculum vitae is credential-based and is most often composed for jobs in academic, medical fields, or research.  They provide a comprehensive, detailed, accounting of one’s education, certifications, research experience, and professional memberships and affiliations [2].  Due to their purpose (an explanation of credentials), curriculum vitae can easily exceed the 1-2 pages.

  • Your document should reflect your professional experience and be presented in a clean, orderly fashion, consistent with resume/vitae practices.
  • UMGC Career Services is an excellent resource to explore.  There you will find useful tutorials and writing guides for resumes.  You can also access resume building assistance via CareerQuest.
  • wikiHow provides a brief summary of points for inclusion in a curriculum vitae.
  • O*Net Online – A must see and explore!  When constructing your resume/vitae careful, concise wording is critical to building a document that 1) captures your knowledge, skills, and abilities, and 2) uses language recognized by employers.  An excellent resource for inspiration and for beefing up resumes is O*Net Online.  O*NET OnLine has detailed descriptions of the world of work, designed for use by job seekers, HR professionals, students, researchers, and more!  Here you can find detailed descriptions of jobs (requirements, duties performed, education requirements, future outlooks, and links to parallel work).  

Document 4: Employment or Advanced Studies (Graduate School/Professional Certification) 

Depending on your post-UMGC studies aspirations, choose either the Employment or the Advanced Studies option to complete. If you are planning to attend graduate school or continue your education in a professional certification program (e.g., nursing, physical therapy, social work) complete the Advanced Studies option.  If you are currently employed and plan to remain at your job for now, select the document type that best expresses an option you may, or plan to, pursue in the future.  (That is, yes, everyone must complete this document for the portfolio. )  

The Employment Option:  The Employment section, Document 4, will contain the following requirements, collected and presented in a single document.

Employment Option Document

1.  Job Search

(7 points)

Present: 1) the results of a computerized job search that yielded at least three job possibilities and 2) a brief report that explains why each of these jobs are appropriate for you based on your immediate and long-term career and life goals as described in the first section of this portfolio.

2.  Cover Letter

(15 points)

Compose a professional-appearing cover letter that can be modified for specific job applications. When writing address your knowledge, skills and abilities derived from your experiences and from your work in the Psychology program.   

3.  Letter of Recommendation Request Template 

(5 points)

Develop and present a template, or model letter, that can be used to request letters of recommendation for an employment opportunity. 

The Advanced Studies (Graduate School/Professional Certification) Option:   The Advanced Studies section, Document 4, will contain the following requirements, collected and presented in a single document.

Graduate School Option Document

1.   Advanced Studies Search

(7 points)

Present: 1) the results of a computerized graduate/certification program search that yielded at least threepossible programs, and 2) a brief report that explains why each of these programs is appropriate for you based on your immediate and long-term career and life goals as described in the first section of this portfolio.

2.  Professional Personal Statement for Applications

(15 points)

Most graduate school and advanced studies programs require submissions of an application.  Many require “Personal Statement.”  This is a narrative essay that combines self-reflection, details about past experiences (volunteer work, internships, etc.) and a clear expression of your goals and interests in the program of study.  This is often achieved in 1-2 pages.

  • Useful resources:  A keyword search – “how to graduate school personal statement” should help you find a variety of resources (e.g., GoGrad) on how to write a strong personal statement

3.  Letter of Recommendation Request Template

(5 points)

Develop and present a template, or model letter, that can be used to request letters of recommendation for your graduate or certification program.

The Career Review (updated) section will include the following:

Document 5: Revised Career Review Paper (5 points)

Portfolio Formatting (10 points): Follow the formatting requirements for each document type.  Writing mechanics (spelling, grammar, citations, references and general APA style adherence) are scored.   It is advised that Portfolio documents be submitted as five independent files, unless you have been told defiantly by your instructor.  Clearly label each file, representing its designated content.  If you have a strong wish to compile your Portfolio into a single document, communicate this preference and discuss with your instructor.  Single, compiled documents take more time and attention to detail due to special formatting needed to retain the integrity of each document’s formatting requirement.

————–

[1] CareerOneStop. “Why You Need a Great Resume.” Accessed May 17, 2020.

Columbia University Center for Career Education. “What is a Curriculum Vitae?” Accessed May 17, 2020.

2-3 pages

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Read the facts below to answer the following questions.

Questions

  1. State the professional duty of care of a professional electronics design engineer, then the specific professional standard of care Magoo and Bord must follow in designing the requested product.  State the general duty of care for a corporation as to visitors on its premises and the specific standard of care relative to test areas and visitors.
  2. Determine, using facts and law, whether anyone breached a standard of care.
  3. Determine, using facts and law, whether any breach is the actual cause of any of Bupkiss’ injuries.
  4. Determine whether any breach is the proximate cause of any of Bupkiss’ injuries.
  5. Determine using facts and law whether any defendant has any viable affirmative defense
  6. Clearly state your conclusion who, if anyone is liable and in what percentage of total fault (100%)

One page is not enough. More than three or four is probably too many. Use a 12 point readable font.  Have a copy of your analysis ready to use during class.

Facts

Michael Magoo, a professional electronics design engineer, prepares a new circuit design for a more efficient TiVo-style recorder for home use. Magoo subcontracts the printed circuit design to Alla Bord, a Czech engineer in Prague who speaks limited English. Bord prepares a schematic of the printed circuit design. Magoo requests that Bord make changes in the design to make the board layout even more efficient. One of the major changes affected the location of the power supply. Bord makes the requested changes, but then attempts to tell Magoo in an international telephone call that although the changes will work, the new layout might increase the risk of shock to any consumer who opens up the recording device. Magoo does not understand Bord very well and assures him that he has done a good job. Saving even a few pennies in production of the board is worth a lot of additional profit to Magoo’s client, Giant Corporation.

During Alpha testing of the product without a casing at Giant Corporation headquarters, Sam Bupkis, a visiting buyer from Circuit City, is severely shocked and injured during a demonstration of the product when he accidentally touches the circuit board in the very place that Bord warned Magoo about. Bupkis sues Giant for negligence and product liability, and sues Magoo and Bord for professional negligence and product liability.

At trial, Bupkis introduces the testimony of an expert electronics engineer who states that any competent electronics engineer should have known from the revised schematic that the layout was dangerous and that Giant’s engineers should have reviewed Magoo’s work and discovered the deficiencies in the design. Giant defends by arguing that Alpha testing is used to find flaws and that, in fact, the flaw was discovered before the product was released to the public. Giant further argues that Bupkis should not have touched the product. Bord defends by claiming he was only a hired independent contractor who performed exactly as required of him and who warned Magoo. Magoo defends himself by claiming that it was not readily apparent from the schematic that the layout was dangerous and that he was entitled to rely on the specific expertise of Bord as the layout designer, who should have put his warning in writing to be understood.

Cognitive Psychology and Humaistic Psychology

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 After having learned about Cognitive Psychology and Humaistic Psychology, including the important theorists, the main ideas, and the ways of conceptualizing and treating disorders, students are asked to create a PowerPoint presentation describing the development of each theory. Specifically, students will identify historical antecedents of preceding philosophies/intellectual traditions (1 slides per theory), identify and describe important figures and tenets of Cognitive Psychology and Humanistic Psychology (1 slide per theory), and discuss each theory’s views on etiology of disorders, approach to diagnosis, and views on prognosis for diagnosed individuals (1 slide per theory). The project should also include at least one slide evaluating strengths and weaknesses of each theory, and a slide compare them with a Christian Worldview. Finally, the slides should include some sort of visual aid to help describe the information in the slide (e.g., picture, graphic, symbol).

Guidelines:

The presentation should be no less than 8 slides long, excluding title page and references.
The presentation should include a support/citations from at least 4 sources outside of the textbook.
Pictures and illustrations should be included, where needed and should enhance the content rather than just decorating the slide.
The slides should indicate a good understanding of the development of each theory.
The project should be formatted according to APA guidelines, including, but not limited to, appropriate grammar, spelling, and citations (as necessary)
The project should include in-text citations for all factual information provided and include an APA reference page providing reference information for the cited materials. 

Sickle cell disease answer

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Sickle cell disease is a group of inherited autosomal recessive red blood cell disorders that affects hemoglobin. Normally, red blood cells are disc shaped and flexible to move easily through the blood vessels. In sickle cell disease the red blood cells are crescent or “sickle” shaped. These cells do not bend and move easily and can block blood flow to the rest of the body.  In order for sickle cell disease to be passed down both parents must carry the gene mutation and the there is a 25% the child will be affected and a 25% chance the child will be unaffected, then there is a 50% chance that the child will be a carrier but not have the disease. In sickle cell disease a single amino acid substitution in the β-globin chain leads to polymerization of mutant hemoglobin S, impairing erythrocyte rheology and survival. Clinically, erythrocyte abnormalities in sickle cell disease manifest in hemolytic anemia and cycles of microvascular vaso-occlusion leading to end-organ ischemia-reperfusion injury and infarction. Vaso-occlusive events and intravascular hemolysis promote inflammation and redox instability that lead to progressive small- and large-vessel vasculopathy (Sundd et al., 2019).

Sickle disease affects every organ system in the body. Sickle cell crisis is used to describe a group of several acute painful conditions that can happen to many different organ systems. Cerebrovascular complications are an ischemic stroke and it could present with hemiparesis, severe headache and aphasia. Circulatory system complications include splenic sequestration, functional asplenia which would present as splenomegaly and sudden drop in hemoglobin. Genitourinary complications include priapism and renal disfunction which could present as a sustained erection and hematuria. Hepatobiliary issues include cholelithiasis and hepatic fibrosis with a presentation of hepatomegaly and abdominal pain. Ocular issues include proliferative retinopathy and retinal detachment and symptoms include pain, decreased vision, and/or blindness. Pulmonary issues include acute chest syndrome which shows as pulmonary infections, chest pain, cough, and dyspnea. Skeletal issues include dactylitis and aseptic necrosis which present as swollen hands feet, pain, and decreased mobility (Novelli & Gladwin, 2016).

References

Novelli, E. M., & Gladwin, M. T. (2016). Crises in sickle cell disease. Chest, 149(4), 1082–1093. https://doi.org/10.1016/j.chest.2015.12.016

Sundd, P., Gladwin, M. T., & Novelli, E. M. (2019). Pathophysiology of sickle cell disease. Annual Review of Pathology: Mechanisms of Disease, 14(1), 263–292. https://doi.org/10.1146/annurev-pathmechdis-012418-012838

BUSLAW IRAC

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Use a newspaper, news magazine, or the internet (including articles posted on Canvas by instructor) to find a current article (if uncertain, please see the instructor to have your topic approved) related to business law to write about.  Briefly summarize your article and include some interesting facts or highlights. Lastly, and most importantly, discuss any concerns, issues, or thoughts you have about the subject matter raised in the article. This will be done by writing an IRAC (Issue, Rule, Analysis, Conclusion) about the article.

Note on the syllabus calendar that there are two categories for the assignments.  The IRAC must apply to the subjects shown below:

IRAC #3 – Contracts

IRAC Basics:

Summary – write a brief summary of the article or case (no more than one (1) page.  Four things to remember when writing a summary:

  • use your words and phrases, not the author’s
  • use key points only…no details.
  • represent the material accurately and fairly
  • cite your source!!!!!!!!

Issue(s) – are written in the form of questions!  These issues are questions one might ask regarding how the law applies to the article you have chosen.

Rules – are the laws/rules that the writer thinks may apply to the issues. Remember…the rule MUST BE CITED!

Analysis – is where the writer either proves or disproves the application of the rules.  This is a major focus of the paper and presentation….critical thinking must be applied.

Conclusion – will take one of two approaches.  First, if the court has decided the case, do you agree with the decision?  Why, or why not?  If the court has yet to make a decision, what do you think needs to be done, and why.

There is no minimum or limitation to the length of the paper.  The writer’s approach is to be concise, organized, and complete in the presentation of the case. If you need any further clarification of this assignment, please make an appointment to see me during office hours.

Be sure to attach the news article/court case to your essay. If the article/case is not attached a score will not be given. The attachment can be in the form of a link to a web page.

WK11 QUESTION 2

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Throughout this course, you may have gravitated to certain stages of development and certain research topics. Perhaps you found cognitive development during early childhood particularly appealing. Perhaps you are interested in the process of identity development during adolescence and the influence of culture. Maybe you want to learn more about how older adults cope with Alzheimer’s disease. There are endless questions and endless opportunities to affect change, improve human development, and positively impact the overall quality of life.

Take your curiosities and interests a step further and generate some ideas for positive social change in those areas. Do not limit yourself to what your current resources or capacities are; if you had ample resources at your disposal, what would you want to do to affect positive social change?

To prepare for this Discussion:

  • Review the Walden University Social Change website and explore the possibilities for positive social change.
  • Think about a research topic that involves lifespan development and how it could contribute to positive social change.

By Day 4

Post about a description of a research topic that involves lifespan development and explain how it could contribute to positive social change. Then, explain the actions you could take to bring about social change for that research topic possibility. Be specific.

READINGS FOR THIS WEEK SHOULD BE USED IN ANSWER:

  

Cole, M. (2013). Differences and deficits in psychological research in historical perspective: A commentary on the special section. Developmental Psychology, 49(1), 84–91. doi:10.1037/a0029623

Note: You will access this article from the Walden Library databases.

Russell, S. T. (2015). Human developmental science for social justice. Research in Human Development, 12(3–4), 274–279. doi:10.1080/15427609.2015.1068049

Note: You will access this article from the Walden Library databases.

Serpell, R., & Marfo, K. (2014). Some long-standing and emerging research lines in Africa. New Directions for Child and Adolescent Development, 2014(146), 1–22. doi:10.1002/cad.20070

Note: You will access this article from the Walden Library databases.

Stein, G. L., Cupito, A. M., Mendez, J. L., Prandoni, J., Huq, N., & Westerberg, D. (2014). Familism through a developmental lens. Journal of Latina/o Psychology, 2(4), 224–250. doi:10.1037/lat0000025

Note: You will access this article from the Walden Library databases.

Sternberg, R. J. (2014). The development of adaptive competence: Why cultural psychology is necessary and not just nice. Developmental Review, 34(3), 2087–224. doi:10.1016/j.dr.2014.05.004

Note: You will access this article from the Walden Library databases.

Walden University. (2016). Social change. Retrieved from https://www.waldenu.edu/about/social-change

WORLD Policy Analysis Center. (2015). Retrieved from http://worldpolicycenter.org/

Required Media

Evans, H. (Producer). (2016). What does it mean to be a citizen of the world? [Video file]. Retrieved August 26, 2016, from https://www.ted.com/talks/hugh_evans_what_does_it_mean_to_be_a_citizen_of_the_world

Health Care Informatics and System Breaches Scenario

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Health Care Informatics and System Breaches

Scenario

You are the health information officer at a large hospital. You have learned a significant information technology failure or breach has occurred within your hospital. Using the Internet or the Strayer University library database, identify other health care organizations or health care providers that have recently had a significant information technology failure or breach. Write a report to your staff, notifying them of the failure or breach, how such failures or breaches have affected similar organizations, and how those organizations resolved the issue.

Instructions

Write a 4–5 page report for your staff in which you:

  1. Outline four key factors contributing to the other organizations’ HIMS failures or breaches.
  2. Analyze three ways the HIMS failures impacted the organizations’ operations and patient information protection, privacy, or personal safety.
  3. Diagnose the leadership teams’ reactions to the failures. Analyze whether the leadership teams took sufficient measures to address various stakeholder groups impacted. Next, consider whether the other organizations had sufficient resources in place to prevent these occurrences. If not, identify where most of the failures occurred.
  4. Suggest three outcomes for the facility and state and explain whether you agree with the overall verdict or violation.
  5. Recommend at least three best practices your hospital can adopt to avoid such HIMS failures or breaches in the future. Provide support for these recommendations.
  6. Explain one current government requirement requiring all health care organizations to ensure health care and patient information is secure and information breaches and technology failures are minimized.
  7. At a minimum, provide these headings within your report: summary statement, background information, and recommendations.
  8. Go to Basic Search: Strayer University Online Library to find four recent (within the last five years) quality academic resources for this assignment. Note: Wikipedia and other websites do not qualify as quality academic resources.

3 Pages Case Study – Incentives Gone Wrong at Wells Fargo

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Apply the 3-Step Problem-Solving Approach to OB

Use the Organizing Framework and the 3-Step Problem-Solving Approach to help identify inputs, processes, and outcomes relative to this case. Every chapter of your textbook has an Organizing Framework near the end which has been modified to include the concepts from that chapter. Since this case study is most closely related to the concepts in Chapters 5 and 6, you could use the Organizing Framework at the end of either of those chapters as a guide.

Step 1: Define the problem.

  • Look first to the Outcome box of the Organizing Framework and to help identify the important problem(s) in this case. Remember that a problem is a gap between a desired and current state. State your problem as a gap and be sure to consider problems at all three levels. If more than one desired outcome is not being accomplished, decide which one is most important and focus on it for steps 2 and 3.
  • Cases have key players, and problems are generally viewed from a particular player’s perspective. You need to determine from whose perspective—employee, manager, team, or the organization—you’re defining the problem. As in other cases, whether you choose the individual or organizational level in this case can make a difference. In this case, you’re asked to assume the role of the new CEO. Write up your analysis as if you are the CEO. How do things look from the CEO’s perspective? How would you address the company?
  • Use details in the case to determine the key problem. Don’t assume, infer, or create problems that are not explicitly included in the case itself.
  • To refine your choice, ask yourself, why is this a problem? Explaining why helps refine and focus your thinking. Focus on topics in the current chapter, because we generally select cases that illustrate concepts in the current chapter.

Step 2: Identify causes. Using material from this chapter and summarized in the Organizing Framework, identify what are the causes of the problem you identified in Step 1. Remember, causes tend to appear in either the Inputs or Processes boxes.

  • Start by looking at the Organizing Framework and determine which person factors, if any, are most likely causes of the defined problem. For each cause, explain why this is a cause of the problem. Asking why multiple times is more likely to lead you to the root causes of the problem. There may be few or no person factors but be sure to consider them. For example, did the attributes of the leaders or other employees contribute to the problems defined in Step 1?
  • Follow the same process for the situation factors. For each ask yourself, Why is this a cause? For example, leadership at the executive and other levels might have some effect on the problem you defined. Aside from performance management, did other HR practices contribute to the problem? If you agree, which specific practices and why? By following the process of asking why multiple times you are likely to arrive at a more complete and accurate set of causes. Again, look to the Organizing Framework for this chapter for guidance.
  • Now consider the Processes box in the Organizing Framework. Performance management processes are clearly part of the story, but are any other processes at the individual, group/team, or organizational level that caused your defined problem? For any process you consider, ask yourself, why is this a cause? Again, do this for several iterations to arrive at the root causes.
  • To check the accuracy or appropriateness of the causes, be sure to map them onto the defined problem and confirm the link, or cause-and-effect connection.

Step 3: Make recommendations for solving the problem, considering whether you want to resolve it, solve it, or dissolve it. Which recommendation is desirable and feasible?

  • Given the causes identified in Step 2, what are your best recommendations? Use material from the chapter that best suits the cause. Remember to consider the OB in Action and Applying OB boxes, because these contain insights into what others have done.
  • Be sure to consider the Organizing Framework—both person and situation factors, as well as processes at different levels.
  • Create an action plan for implementing your recommendations, and be sure your recommendations map onto the causes and resolve the problem.